Nose Surgery and Rhinoplasty
Have to Be Done Twice?
Dr. Lee Kyung-mook’s Answer!

Hello,
this is Obje Plastic Surgery.
"I heard that rhinoplasty
is hard to complete in one time."
"Usually you have to do it two or three times
to get the shape you want..."
Have you ever heard
things like this while looking into
rhinoplasty?
For those considering rhinoplasty for the first time,
this can be truly confusing information.
Even deciding to have surgery once is a big decision,
so it’s only natural to hesitate
when you hear you may need to do it again.
But to give you the conclusion first,
rhinoplasty does not necessarily
need to be done more than twice.
Today, we’ll explain in detail
why this misconception arises,
and what you should check
to succeed on the first try.
If you read to the end,
it should help you when choosing
a rhinoplasty clinic.
Why does the phrase,
"You have to do the nose twice,"
come up?
This saying
is not completely wrong.
In reality, there are many people
who undergo revision rhinoplasty.

However, this is absolutely not
'a normal process.'
The biggest reason revision surgery is needed
is that something was missed
during the first surgery.
"It seemed fine right after the surgery,
but over time the tip of my nose dropped."
"The bridge became higher,
but it looks unnatural."
"It doesn’t feel like what I wanted at first."
Problems like these do not happen simply because
"time passed."
They happen because the fundamental structure
was not properly established
from the start.
These days, rhinoplasty clinics
emphasize short surgery time and quick recovery.
You may have seen ads saying things like,
"Have surgery during lunchtime
and return to daily life right after in the afternoon."
Of course, quick recovery
is an advantage.
But in rhinoplasty,
what really matters is
not "speed," but
"results that last."
If steps that are necessary for speed
are skipped, what happens?
The internal structure of the nose
is not sufficiently reinforced,
and only the outer appearance is created.
It may look pretty at first,
but problems start to appear over time.
If the cartilage supporting the tip
is not properly fixed,
it will gradually sag downward.
If the space between the skin tissue
and the implant is not properly created,
an unnatural shape will become apparent
as time passes.
This is why people say,
"You have to do the nose twice."
It’s not that two surgeries are inherently needed;
it’s because the first surgery wasn’t done properly,
so it has to be done again.
Another reason is
following only trendy styles.
Some people bring photos of currently popular celebrities
and ask,
"Please make it like this."
Clinics also try to follow that request exactly.
But there is a big problem here.

Everyone has different face shapes, proportions of facial features,
skin thickness, and the condition of the nasal bone and cartilage.
The same shape may look good on one person,
but may not suit another person at all.
In the end, these cases also lead to
considering revision surgery.
That happens because they could not find
a shape that suits them,
instead of simply copying a trending shape.
If you want to succeed the first time,
ask these three questions
Then how can you get satisfying results
with just one surgery?
I’ll tell you the key factors
you must check when choosing a rhinoplasty clinic.
- Do they explain how they will
reinforce the internal structure of the nose?
The outward shape of the nose is important,
but
the internal structure that supports that shape
is even more important.
If the cartilage at the tip of the nose is weak,
the cartilage needs to be reinforced.
Rather than simply placing an implant,
you need to create a framework that can
support the implant stably.
If you meet a doctor who specifically explains
how they will support the tip of the nose,
and what structure is needed
to keep the shape over time,
they are considering not only a
'pretty shape'
but also a
'long-lasting result.'
- Do they suggest a design
that suits my face?
During consultation, the first question a doctor asks
will probably be,
"What kind of shape do you want?"
Of course, listening to the patient’s opinion
is important.
But a truly skilled doctor will not simply accept
the patient’s request as it is;
they will first judge whether that request
actually suits the patient.

For example, if a patient asks,
"Please raise it as high as possible,"
they should be able to say this:
"Considering your face shape and skin thickness,
this height seems like it would look the most natural
and be maintainable for the longest time."
The role of a rhinoplasty doctor
is not simply to do what the patient wants,
but to tell the patient what they truly need.
During consultation, check whether the doctor
carefully observes your face,
repeatedly checks the profile and front view,
and gives specific suggestions such as,
"It would be better to do this part like this."

- Do they honestly say
when revision surgery is necessary?
This may sound a little paradoxical.
A truly skilled doctor
also honestly says what they cannot do.
For example, if the patient’s nasal condition
is very complex,
or if the tissue has been severely damaged
due to a previous surgery,
or if the result the patient wants
is realistically impossible,
they should clearly explain that.
"In this case, it may be difficult
to achieve the result you want in one surgery.
First, we may need to address this area,
and after the tissue stabilizes,
we may need to consider additional procedures."
A doctor who speaks honestly like this
is setting realistic expectations.

On the other hand, a place that only says,
"We can solve everything in one surgery"
every time, regardless of the condition,
is something you should be suspicious of.
Today, we talked about why the misconception
that revision surgery is needed after rhinoplasty
has arisen,
and what you should check
to succeed the first time.
To summarize, please remember these three things.
Whether they properly reinforce
the internal structure of the nose,
whether they propose a design that suits your face,
and whether they give honest and realistic explanations.
Director Lee Kyung-mook of Obje Plastic Surgery
first designs the cartilage structure and stability
that support the tip of the nose,
so that the shape does not collapse over time.
Especially for the first rhinoplasty,
the philosophy of Director Lee Kyung-mook
is to reduce unnecessary osteotomy
and excessive treatment,
and focus on one surgery
with a method that also considers the recovery process.
I hope today’s post was helpful
for those looking for a rhinoplasty clinic.
This has been Obje Plastic Surgery.
Thank you.
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This post is medical information written by Obje Plastic Surgery Clinic in compliance with the Medical Advertising Act.
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The effects of the procedure may vary depending on the individual, and side effects may occur.
It is recommended that you have sufficient consultation with medical staff in advance before deciding on the procedure.